Physical Diagnosis

Question 1

Sterile gloves should be worn when there may be a source of ________

Answer 1

infection

Question 2

Two traditions in Medicine

Answer 2

Bare hands and catering to the right side

Question 3

Plexor

Answer 3

hammer (tip of long finger)

Question 4

Pleximeter

Answer 4

“nail” DIP of contralateral long finger

Question 5

Most accurate temp measurement

Answer 5

Rectal

Question 6

Tachypnea

Answer 6

RR >20/min

Question 7

Bradypnea

Answer 7

RR

Question 8

Cheyne-Stokes respirations

Answer 8

Periodic breathing, periods of apnea, end stage of sleep apnea

Question 9

Kussmaul respirations

Answer 9

Deep, labored, rapid. Associated with metabolic acidosis

Question 10

Tachycardia

Answer 10

> 100, 90-99 is considered elevated

Question 11

Bradycardia

Answer 11

Less than 60bpm

Question 12

Systole

Answer 12

ventricles at max contraction

Question 13

Diastole

Answer 13

ventricles at max relaxation

Question 14

Systolic pressure

Answer 14

max pressure on artery during LV contract

Question 15

Diastolic pressure

Answer 15

pressure exerted by blood consistenly between each contraction

Question 16

Korotkoff sounds

Answer 16

low-pitched sounds produced by turbulence of blood flow in artery

Question 17

BP is dependent on which three factors

Answer 17

Stroke volume, heart rate, and peripheral vascular resistance

Question 18

New patients should get BP taken in _____ arms

Answer 18

both

Question 19

Orthostatic BP: Drop in SBP > ___ mm Hg or increase in HR> 20bpm suggests volume depletion

Answer 19

> 10 mmHg; >20bpm

Question 20

Four blunt percussion spots

Answer 20

Spleep, kidney, liver, sinuses

Question 21

Which exam technique should be performed last?

Answer 21

auscultation (exept abd. Exam)

Question 22

Bruit

Answer 22

turbulent noise in vessel

Question 23

Low pitched sounds heard best with _____

Answer 23

bell

Question 24

High pitched sounds heard best with _____

Answer 24

diaphragm

Question 25

One of the most important rapid assessments?

Answer 25

Level of Toxicity // how sick are they?

Question 26

Dullness

Answer 26

percussion over solid organs

Question 27

Resonance

Answer 27

big sound from air filled spaces

Question 28

Hyperresonance

Answer 28

Large sound due to excess air in lungs // Asthma, COPD

Question 29

Tympany

Answer 29

Drum like sound when you tap over the belly // fluid and air

Question 30

Purpose of blunt percussion

Answer 30

Elicit pain, not identify sounds // AKA direct percussion